CPT code 99233: Hospital follow-up visit, subsequent day, high complexity2026 Medicare rate & RVUs in Mississippi
Report a subsequent inpatient or observation hospital visit when medical decision making is high or the practitioner spends at least 50 minutes that date.
In Mississippi, Medicare pays $102.44 for 99233 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 99233 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 99233 covers
This subsequent hospital visit is for a patient receiving inpatient or observation care after the initial hospital encounter. A hospitalist, internist, specialist, nurse practitioner, or physician assistant may assess a worsening condition, adjust treatment, and coordinate care. Situations may include worsening sepsis or heart failure that is not responding to diuresis, but the diagnosis alone does not establish the visit level. An intensivist may report this visit when the work does not meet critical care reporting requirements.
Select 99233 using high medical decision making or at least 50 minutes of the reporting practitioner's total time on the calendar date. Qualifying time can include reviewing records, discussing management with other clinicians, counseling family when appropriate, and documenting the visit; exclude time spent on separately reported services. For medical decision making, documentation must support a high level in two of its three elements, such as problems addressed, data, and management risk. Record total time when selecting by time. The same subsequent-care series covers inpatient and observation stays. CMS reports equal office and facility practice expense values for this code, although most reported Medicare services are in facilities.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Mississippi compares for 99233
Across 109 of 109 payment localities, the facility rate for 99233 runs from $101.05 in Arkansas to $145.61 in Alaska. Mississippi pays $102.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$102.44
- Los Angeles, CA · California$111.94+$9.50
- Washington, DC area · District of Columbia$115.58+$13.14
- Miami, FL · Florida$116.92+$14.48
- Chicago, IL · Illinois$115.33+$12.89
- Manhattan, NY · New York$118.89+$16.45
- Alaska · Alaska$145.61+$43.17
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $101.69 |
| ArkansasArkansas | — | $101.05 |
| ArizonaArizona | — | $105.38 |
| Bakersfield, CACalifornia | — | $108.04 |
| Chico, CACalifornia | — | $107.44 |
| El Centro, CACalifornia | — | $107.47 |
| Fresno, CACalifornia | — | $107.44 |
| Hanford, CACalifornia | — | $107.44 |
| Madera, CACalifornia | — | $107.44 |
| Merced, CACalifornia | — | $107.44 |
| Modesto, CACalifornia | — | $107.44 |
| Napa, CACalifornia | — | $115.56 |
| Oxnard, CACalifornia | — | $110.63 |
| Redding, CACalifornia | — | $107.44 |
| Rest of CaliforniaCalifornia | — | $107.44 |
| Riverside, CACalifornia | — | $109.43 |
| Sacramento, CACalifornia | — | $110.35 |
| Salinas, CACalifornia | — | $109.87 |
| San Diego, CACalifornia | — | $110.59 |
| Marin County, CACalifornia | — | $119.74 |
| San Francisco, CACalifornia | — | $119.53 |
| San Benito County, CACalifornia | — | $122.06 |
| Santa Clara County, CACalifornia | — | $121.23 |
| San Luis Obispo, CACalifornia | — | $108.33 |
| Santa Cruz, CACalifornia | — | $110.23 |
| Santa Maria, CACalifornia | — | $109.78 |
| Santa Rosa, CACalifornia | — | $111.22 |
| Stockton, CACalifornia | — | $107.44 |
| Vallejo, CACalifornia | — | $115.27 |
| Visalia, CACalifornia | — | $107.44 |
| Yuba City, CACalifornia | — | $107.44 |
| ColoradoColorado | — | $107.85 |
| ConnecticutConnecticut | — | $111.34 |
| DelawareDelaware | — | $106.43 |
| Fort Lauderdale, FLFlorida | — | $112.01 |
| Rest of FloridaFlorida | — | $109.00 |
| Atlanta, GAGeorgia | — | $108.66 |
| Rest of GeorgiaGeorgia | — | $105.80 |
| Hawaii, Guam, HIHawaii | — | $107.19 |
| IowaIowa | — | $101.50 |
| IdahoIdaho | — | $102.06 |
| East St. Louis, ILIllinois | — | $111.32 |
| Rest of IllinoisIllinois | — | $108.47 |
| Suburban Chicago, ILIllinois | — | $112.64 |
| IndianaIndiana | — | $102.28 |
| KansasKansas | — | $101.91 |
| KentuckyKentucky | — | $104.07 |
| New Orleans, LALouisiana | — | $106.48 |
| Rest of LouisianaLouisiana | — | $104.25 |
| Metropolitan Boston, MAMassachusetts | — | $113.53 |
| Rest of MassachusettsMassachusetts | — | $108.04 |
| Baltimore area, MDMaryland | — | $111.10 |
| Rest of MarylandMaryland | — | $107.44 |
| Rest of MaineMaine | — | $102.95 |
| Southern Maine, MEMaine | — | $104.48 |
| Detroit, MIMichigan | — | $110.28 |
| Rest of MichiganMichigan | — | $105.86 |
| MinnesotaMinnesota | — | $103.25 |
| Metropolitan Kansas City, MOMissouri | — | $105.48 |
| Metropolitan St. Louis, MOMissouri | — | $105.90 |
| Rest of MissouriMissouri | — | $103.87 |
| MontanaMontana | — | $106.87 |
| North CarolinaNorth Carolina | — | $103.33 |
| North DakotaNorth Dakota | — | $103.31 |
| NebraskaNebraska | — | $101.55 |
| New HampshireNew Hampshire | — | $106.98 |
| Northern New JerseyNew Jersey | — | $115.66 |
| Rest of New JerseyNew Jersey | — | $112.58 |
| New MexicoNew Mexico | — | $106.37 |
| NevadaNevada | — | $105.90 |
| NYC suburbs and Long Island, NYNew York | — | $121.08 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $113.72 |
| Queens, NYNew York | — | $118.44 |
| Rest of New YorkNew York | — | $104.06 |
| OhioOhio | — | $105.13 |
| OklahomaOklahoma | — | $103.33 |
| Portland, OROregon | — | $108.93 |
| Rest of OregonOregon | — | $105.01 |
| Metropolitan Philadelphia, PAPennsylvania | — | $110.34 |
| Rest of PennsylvaniaPennsylvania | — | $104.85 |
| Puerto RicoPuerto Rico | — | $107.02 |
| Rhode IslandRhode Island | — | $108.44 |
| South CarolinaSouth Carolina | — | $104.41 |
| South DakotaSouth Dakota | — | $102.89 |
| TennesseeTennessee | — | $102.21 |
| Austin, TXTexas | — | $107.56 |
| Beaumont, TXTexas | — | $104.59 |
| Brazoria, TXTexas | — | $106.02 |
| Dallas, TXTexas | — | $106.67 |
| Fort Worth, TXTexas | — | $106.54 |
| Galveston, TXTexas | — | $106.35 |
| Houston, TXTexas | — | $109.64 |
| Rest of TexasTexas | — | $105.24 |
| UtahUtah | — | $105.03 |
| VirginiaVirginia | — | $104.76 |
| Virgin Islands, VIUnited States Virgin Islands | — | $107.02 |
| VermontVermont | — | $103.71 |
| Rest of WashingtonWashington | — | $107.59 |
| King County, WAWashington | — | $114.49 |
| WisconsinWisconsin | — | $101.85 |
| West VirginiaWest Virginia | — | $106.76 |
| WyomingWyoming | — | $105.32 |
99233 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 99233 rate is calculated
Each of 99233’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 99233
RVUs × geographic indexes × conversion factor
Work2.40
2.40 RVUs× 1.000 GPCI
Practice expense0.62
0.62 RVUs× 1.000 GPCI
Malpractice0.18
0.18 RVUs× 1.000 GPCI
Adjusted RVUs
3.2000
Conversion factor
$33.4009
Medicare rate
$106.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,023
- Code
- 99233
- Physician work
- 2.40
- Practice expense
- 0.62
- Malpractice
- 0.18
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.40 | × 1.000 | 2.4000 |
| Practice expense | 0.62 | × 0.861 | 0.5338 |
| Malpractice | 0.18 | × 0.739 | 0.1330 |
| Total RVUs | 3.0668 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$102.44
Facility: (2.4 × 1 + 0.62 × 0.861 + 0.18 × 0.739) × $33.4009 = $102.44
Payment rules and modifiers for 99233
99233 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 99233
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
99233 isn’t priced in this setting.
How 99233 has changed in Mississippi
99233 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $102.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $102.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $102.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $102.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $108.04 | RVU25D |
| 2025-07-01 | Not available in this setting | $108.04 | RVU25C |
| 2025-04-01 | Not available in this setting | $108.04 | RVU25B |
| 2025-01-01 | Not available in this setting | $108.04 | RVU25A |
| 2024-10-01 | Not available in this setting | $111.15 | RVU24D |
| 2024-07-01 | Not available in this setting | $111.15 | RVU24C |
| 2024-04-01 | Not available in this setting | $111.15 | RVU24B |
| 2024-03-09 | Not available in this setting | $111.15 | RVU24AR |
| 2024-01-01 | Not available in this setting | $109.34 | RVU24A |
| 2023-10-01 | Not available in this setting | $112.70 | RVU23D |
| 2023-07-01 | Not available in this setting | $112.70 | RVU23C |
| 2023-04-01 | Not available in this setting | $112.70 | RVU23B |
| 2023-01-01 | Not available in this setting | $112.70 | RVU23A |
| 2022-10-01 | Not available in this setting | $96.36 | RVU22D |
| 2022-07-01 | Not available in this setting | $96.36 | RVU22C |
| 2022-04-01 | Not available in this setting | $96.36 | RVU22B |
| 2022-01-01 | Not available in this setting | $96.36 | RVU22A |
| 2021-10-01 | Not available in this setting | $97.16 | RVU21D |
| 2021-07-01 | Not available in this setting | $97.16 | RVU21C |
| 2021-04-01 | Not available in this setting | $97.16 | RVU21B |
| 2021-01-01 | Not available in this setting | $97.16 | RVU21A |
| 2020-10-01 | Not available in this setting | $99.65 | RVU20D |
| 2020-07-01 | Not available in this setting | $99.65 | RVU20C |
| 2020-04-01 | Not available in this setting | $99.65 | RVU20B |
| 2020-01-01 | Not available in this setting | $99.65 | RVU20A |
| 2019-10-01 | Not available in this setting | $98.71 | RVU19D |
| 2019-07-01 | Not available in this setting | $98.71 | RVU19C |
| 2019-04-01 | Not available in this setting | $98.71 | RVU19B |
| 2019-01-01 | Not available in this setting | $98.71 | RVU19A |
| 2018-10-01 | Not available in this setting | $99.23 | RVU18D |
| 2018-07-01 | Not available in this setting | $99.23 | RVU18C |
| 2018-04-01 | Not available in this setting | $99.23 | RVU18B |
| 2018-01-01 | Not available in this setting | $99.23 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $99.45 | RVU17D |
| 2017-07-01 | Not available in this setting | $99.45 | RVU17C |
| 2017-04-01 | Not available in this setting | $99.45 | RVU17B |
| 2017-01-01 | Not available in this setting | $99.45 | RVU17A |
| 2016-10-01 | Not available in this setting | $99.12 | RVU16D |
| 2016-07-01 | Not available in this setting | $99.12 | RVU16C |
| 2016-04-01 | Not available in this setting | $99.12 | RVU16B |
| 2016-01-01 | Not available in this setting | $99.12 | RVU16A |
| 2015-10-01 | Not available in this setting | $99.79 | RVU15D |
| 2015-07-01 | Not available in this setting | $99.79 | RVU15C |
| 2015-04-01 | Not available in this setting | $99.29 | RVU15B |
| 2015-01-01 | Not available in this setting | $99.29 | RVU15A |
| 2014-10-01 | Not available in this setting | $99.14 | RVU14D |
| 2014-07-01 | Not available in this setting | $99.14 | RVU14C |
| 2014-04-01 | Not available in this setting | $99.14 | RVU14B |
| 2014-01-01 | Not available in this setting | $99.14 | RVU14A |
| 2013-10-01 | Not available in this setting | $96.20 | RVU13D |
| 2013-07-01 | Not available in this setting | $96.20 | RVU13C |
| 2013-04-01 | Not available in this setting | $96.20 | RVU13B |
| 2013-01-01 | Not available in this setting | $96.20 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
99233 billing questions
How do I choose between 99232 and 99233?
99232 requires moderate medical decision making or at least 35 minutes; 99233 requires high medical decision making or at least 50 minutes. For a decision-making selection, two of the three elements must support the chosen level.
Can 99233 be reported for an observation patient?
Yes. Since 2023, subsequent hospital care codes cover both inpatient and observation status; the former separate observation follow-up codes are no longer used.
How is prolonged time reported beyond 99233 for Medicare?
Medicare uses HCPCS G0316 rather than CPT 99418 when 99233 is selected by time and the service meets Medicare's prolonged-service time threshold. Reaching the 50-minute minimum for 99233 alone does not support G0316.
Can I bill 99233 on the day of discharge?
For the practitioner's discharge-day management, report 99238 or 99239 instead of a subsequent hospital visit.
How do consultants bill follow-up visits for Medicare patients?
Medicare does not pay inpatient consultation codes 99252–99255. A consultant uses an appropriate initial hospital care code for the first hospital visit and a subsequent hospital care code, including 99233 when supported, for later visits.
How is a split/shared visit with an NP or PA reported?
For a qualifying facility-based split/shared visit, the physician or NP/PA who performs the substantive portion reports the visit with modifier FS. The substantive portion is more than half of the combined, nonduplicated time or the substantive part of medical decision making under CMS rules.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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